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Perspective of Georgia's Family Planning male clients: Utilization, experiences, perception and practices
Methods: A mixed methods approach was employed. Data collected from FP clinics in Georgia between 2009 and 2012 were analyzed using SAS. The analytical dataset of 12,949 male clients was examined for utilization trends. A focus group was conducted with ten male clients to explore their FP knowledge, attitudes, and practices. Qualitative data were analyzed using MaxQDA.
Results: From 2009 to 2012, there was an 11% decrease in male clients at FP clinics. The primary method of contraceptive used by 68.3% of males is condoms; while 2.6% rely on the female’s contraceptive method. Focus group participants noted the FP program provides essential services. Generally, participants had an accurate, though limited, knowledge of the services offered. Knowledge gaps included general wellness screenings and counseling services offered. Consistently, the FP program was described as gynocentric (the name of the program, clinic environment, and services provided) and emasculating. Other obligations (finances, family and employment) took precedence over preventative healthcare. Social services were noted as a more urgent need and sought more frequently. Males’ focus on healthcare was reactive; more likely after their illness became symptomatic.
Conclusions: Males were ambivalent towards the FP program. A life course model can potentially increase utilization of FP services by males and reduce barriers to seeking care. A nontraditional system is necessary to reengage males in preventative healthcare. There is an opportunity for program administarators to educate the community of the comprehensive services offered by the FP program.
Learning Areas:
Assessment of individual and community needs for health educationConduct evaluation related to programs, research, and other areas of practice
Program planning
Provision of health care to the public
Public health or related research
Social and behavioral sciences
Learning Objectives:
List three factors that have the potential of increasing males’ utilization of Family Planning services. Describe utilization trends of Family Planning's male clients.
Keyword(s): Reproductive Health, Utilization
Qualified on the content I am responsible for because: I serve as the Family Planning Epidemiologist. I led the needs assessment data collection, analysis and reporting efforts.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.